CODER II - PROFESSIONAL SERVICES BILLING

Health & Hospital of Marion County; Indianapolis (IN); On-site; USD 50,000 - 70,000; Full time

Job summary

A leading healthcare provider in Indianapolis is seeking a Professional Coder to ensure accurate clinical coding and abstraction for inpatient and outpatient services. The role involves coding, charge entry, and compliance auditing, supporting the mission to advocate for vulnerable populations. Ideal candidates will have a high school diploma, coding credentials, and at least three years of relevant experience. Join a team recognized for excellence in healthcare services and community benefit.

Benefits

Dental insurance

Vision insurance

DME coding experience

Qualifications

• Minimum 3 years of coding experience in ICD-10, CM, CPT-4, HCPCS.
• Familiarity with E&M guidelines and hospital coding practices.

Responsibilities

• Identifies and assigns appropriate diagnosis, procedure, and E&M codes.
• Captures charges accurately based on documentation.
• Supports training of new team members.

Skills

Communication

Problem Solving

Teamwork

Education

High School diploma

Coding credential from AHIMA or AAPC

Tools

Epic

Job description

Division:

Eskenazi Health

Sub-Division:

Req ID:

23435

Schedule:

Full Time

Shift:

Days

Eskenazi Health serves as the public hospital division of the Health & Hospital Corporation of Marion County. Physicians provide a comprehensive range of primary and specialty care services at the 333-bed hospital and outpatient facilities both on and off of the Eskenazi Health downtown campus, including at a network of Eskenazi Health Center sites located throughout Indianapolis.

FLSA Status:

Non-Exempt

Job Role Summary:

The Professional Coder provides timely and accurate clinical coding and abstraction of inpatient and outpatient services to facilitate compliant and optimized reimbursement, research, and PI initiatives. Responsible for coding, abstraction, and charge entry (as applicable) of professional and facility services, including evaluation and management, ancillary/diagnostic, and behavioral health services.

Essential Functions and Responsibilities:

1. Proactively contributes to Eskenazi Health’s mission: Advocate, Care, Teach, and Serve, with emphasis on Marion County's vulnerable populations; models Eskenazi Health’s values.
2. Coding and Abstracting: Identifies and assigns appropriate diagnosis, procedure, and E&M codes per guidelines; audits provider notes for compliance; provides feedback and reviews documentation as needed; maintains performance standards.
3. Charge Entry: Captures charges accurately based on documentation; suggests additions to fee schedules for new procedures or supplies.
4. Problem Solving: Uses resources to ensure quality and consistency; queries medical staff for clarification; reports concerns to management with examples.
5. Medical Necessity: Recognizes cases requiring specific coverage diagnoses; applies LCD policies as needed.
6. Assists Accounts Receivable with questions to ensure claims are compliant and accurate.
7. Supports training of new team members.
8. Utilizes software applications for documentation retrieval, data abstraction, and work list management.

Job Requirements:

• High School diploma and coding credential from AHIMA or AAPC.
• Minimum 3 years of coding experience in ICD-10, CM, CPT-4, HCPCS, preferably in a physician or mental health setting.
• Epic experience is a plus.
• Dental, vision, and DME coding experience is a plus.

Knowledge, Skills & Abilities:

• Understanding of LCDs, CCI edits, and healthcare billing.
• Knowledge of diagnostic and therapeutic tests, procedures, and documentation standards.
• Familiarity with E&M guidelines and hospital coding practices.
• Ability to apply medical necessity determinations and seek coverage documentation.
• Proficient in general computer skills and quick learner.
• Experience with abstracting systems, revenue cycle, and clinical documentation improvement.
• Excellent communication, customer service, and organizational skills.
• Teamwork, professional judgment, and proactive improvement suggestions.
• Ability to prioritize and work independently.

Eskenazi Health is accredited by The Joint Commission, recognized as Indiana’s best employer by Forbes, and top in community benefit by the Lown Institute. Our programs include the first adult Level I trauma center, the only verified adult burn center, and Indiana’s first community mental health center, among others.